Problemas bioéticos en la prestación de los cuidados enfermeros durante la pandemia del COVID-19

Capella, Vicente Bellver

doi:10.4321/s1132-12962020000100011

Cited by 12 publications

(8 citation statements)

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“…On one hand, there are studies that reveal a lack of sufficient knowledge in the field of medical ethics and skills for ethical conflict resolution among healthcare professionals and students (6, 7, 10), while others conclude adequate levels of knowledge in this population (8, 16). These results are consistent with what has been pointed out by Bellver Capella ( 122 ), Suárez Alba and Artiles Chaviano ( 123 ), and they confirm the ongoing difficulty in drawing solid conclusions due to the disparity of theoretical conceptualizations and procedures employed in different studies, as well as the limited representation of healthcare professions other than medicine or nursing.…”

Section: Discussionsupporting

confidence: 92%

Bioethical knowledge in students and health professionals: a systematic review

González-Blázquez,

Ruiz-Hontangas,

López-Mora

2024

Front. Med.

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IntroductionBioethics training is essential for healthcare professionals as it enables them to address ethical dilemmas in their clinical practice. However, there is still a lack of rigorous teaching programs, and assessing bioethical knowledge poses challenges.Methodology:Systematic review using the PRISMA method.ResultsAnalysis of 27 studies reveals a lack of ethical knowledge and skills among healthcare professionals and students. Specific training in bioethics is effective in developing bioethical competencies. Different approaches have been employed, including integrated training in academic curricula and intensive or ongoing programs. The results demonstrate improvements in knowledge, attitudes, and ethical values, although regularly updating these courses is recommended.ConclusionSpecific training, institutional support, and considering regional and disciplinary differences are necessary to enhance ethics in the practice of healthcare professionals.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023437146, identifier CRD42023437146

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Section: Discussionsupporting

confidence: 92%

Bioethical knowledge in students and health professionals: a systematic review

González-Blázquez,

Ruiz-Hontangas,

López-Mora

2024

Front. Med.

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“…circumstances provoke a conflict between the principle of comprehensive care and the personal care of nurses themselves (Bellver Capella, 2020), eventually leading to a series of physical and mental effects due to stress (González-Rodríguez & Labad, 2020;Luna-Nemecio, 2020). In extreme cases, these events may result in burnout syndrome, causing professional inefficacy or even the impulse to abandon the profession (Silva-Gomes & Silva-Gomes, 2021).…”

mentioning

confidence: 99%

Walking a tightrope: A meta‐synthesis from frontline nurses during the COVID‐19 pandemic

2022

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Nursing staff plays a key role in the public health response to the COVID‐19 pandemic, being in the front line of care. This study sought to synthesise the qualitative literature on care experiences of frontline nurses during the COVID‐19 pandemic. A search was conducted on five databases in January 2021. Fifteen qualitative studies met the inclusion criteria and were included in the research, being submitted to interpretive meta‐synthesis according to the eMERGe guide. The final synthesis included a line of argument that shows the experiences of frontline nurses during the COVID‐19 pandemic, divided into three major themes: ‘Instability on the edge of a cliff: unpredictable and unknown context,’ ‘The price of walking the tightrope: the uncertainty surrounding care,’ and ‘Finding the balance to reach the other side: dealing with the emotional demands of care.’ Although essential in the health response to the COVID‐19 pandemic, nurses experienced an emotional impact arising from the hampered care provision. Our results point to need for strengthening the training of nurses and future nurses, creating and promoting measures that contribute to their psycho‐emotional well‐being, ensuring a safe environment for their clinical practice, and promoting their participation in decision‐making processes.

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“…Las enfermeras reconocen la dedicación del equipo de salud, pero subrayan las falencias en recursos, la falta de capacitación especializada y la necesidad de seleccionar personal con vocación para los cuidados paliativos. Esto concuerda con el trabajo de Bellver (25) quien encontró que durante la pandemia, se identificaron problemas asociados con la insuficiencia de recursos y el autocuidado de la enfermera. Asimismo, Solórzano (26) aseveró que la falta de recursos y las restricciones asistenciales ocasionó una brecha en la atención integral para estos pacientes.…”

Section: Discusión Conocimiento General De La Enfermera Sobre Cuidado...unclassified

Nursing care in patients with terminal cancer in the palliative care unit during the pandemic, nursing perspectives

Mejia,

Morillas

2024

Salud, Ciencia y Tecnología

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Introducción: Durante la pandemia, el personal de enfermería de la unidad de cuidados paliativos tuvo que adaptarse rápidamente a una situación desconocida, marcada por la incertidumbre y cambios constantes en sus protocolos de actuación.Objetivo: Determinar la percepción del cuidado de enfermería en pacientes con cáncer en etapa terminal en tiempos de pandemia en la unidad de cuidados paliativos en un Hospital de la ciudad de Guayaquil.Método: Enfoque cualitativo, exploratorio y de tipo fenomenológico, orientando una entrevista a 15 enfermeros del servicio de cuidados paliativos.Resultados: Se destaca la ausencia de un modelo institucional de cuidados paliativos en el hospital, aunque se utilizan las pautas del Ministerio de Salud Pública (MSP) mismas que no se socializan. A pesar de la dedicación del equipo de salud, existen falencias en recursos, la falta de capacitación especializada y la necesidad de seleccionar personal con vocación para los cuidados paliativos. Las necesidades de los pacientes integran la erradicación de síntomas y el alivio del malestar físico, mientras que, las necesidades de la enfermera aluden al cambio del servicio debido al impacto emocional que produce el sufrimiento de los pacientes. En el transcurso del Covid-19, se generó el aislamiento del paciente, fomentando su soledad y angustia, además, predominó la falta de recursos, asistencia médica y el apoyo de sus familiares.Conclusiones: La atención integral, abarcando aspectos médicos, psicológicos, sociales, económicos y espirituales, emerge como un factor crucial para aliviar el malestar físico, proporcionar apoyo emocional y preservar la dignidad de los pacientes durante esta etapa.

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Problemas bioéticos en la prestación de los cuidados enfermeros durante la pandemia del COVID-19

Cited by 12 publications

References 0 publications

Bioethical knowledge in students and health professionals: a systematic review

Bioethical knowledge in students and health professionals: a systematic review

Walking a tightrope: A meta‐synthesis from frontline nurses during the COVID‐19 pandemic

Nursing care in patients with terminal cancer in the palliative care unit during the pandemic, nursing perspectives

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